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【Epilepsy】男性新兵中与职业压力相关的癫痫发作
*†Shlomo Moshe, *Michal Shilo, ‡Gabriel Chodick, §Yaron Yagev, ¶Ilan Blatt, #Amos D. Korczyn, and **Miri Y. Neufeld
ABSTRACT
Purpose: To examine the risk of undergoing an epileptic seizure as a function of differing levels of occupational stress (physical and mental) in new military recruits with no previous history of epilepsy or with epilepsy in remission for over 2 years.
Methods: The medical records of over 300,000 18-year-old men recruited to the Israeli army between mid-eighties and mid-nineties were used to assemble a cohort, which was followed for a period of 30 months. The severity of epilepsy at recruitment was determined according to four categories, 0 (no history of seizures) and 1–3 (history of seizures with different relapse-free periods, with or without treatment). The soldiers were subdivided according to their occupational categories to: combat units (CU), maintenance units (MU), and administrative units (AU).
Results: The annual incidence rates per 100,000 in category 0 were 317, 298, and 401 in AU, MU, and CU, respectively. The incidence of seizures in category 0 was higher (relative risk [RR]= 1.29, CI = 1.03–1.62) in CU compared to AU and MU. No differences were found for seizure recurrence among various occupational groups.
Conclusion: The increased risk of seizures in CU compared to AU and MU may indicate contribution of service conditions in CU, like physical and mental stress. The equivalent rates of seizure relapse, regardless of the type of occupation, suggests the need for minimal occupational restrictions for epilepsy patients who have been free of seizures for long periods.
Accepted February 25, 2008; Online Early publication xxxxxx xx xxxx.
http://www3.interscience.wiley.com/journal/119878142/abstract?CRETRY=1&SRETRY=0 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Occurrence of seizures in association with work-related stress in young male army recruits
男性新兵中与职业压力相关的癫痫发作事件
ABSTRACT
摘要
Purpose: To examine the risk of undergoing an epileptic seizure as a function of differing levels of occupational stress (physical and mental) in new military recruits with no previous history of epilepsy or with epilepsy in remission for over 2 years.
目的：检验新兵发生癫痫发作的风险与不同层次的职业压力（身体和精神）的关系，其无癫痫发病史或最后一次癫痫发作至少在两年前。
Methods: The medical records of over 300,000 18-year-old men recruited to the Israeli army between mid-eighties and mid-nineties were used to assemble a cohort 男性新兵中与职业压力相关的癫痫发作事件
摘要
目的：检验新兵发生癫痫发作的风险与不同层次的职业压力（身体和精神）的关系，其无癫痫发病史或最后一次癫痫发作至少在两年前。
方法：医疗记录，超过30万名18岁以色列军队新兵（八十年代中期和九十年代中期）形成队列，为期30个月。新兵中严重癫痫检测为四类， 0类 （无发作史）和1-3类 （有发作史，不同程度复发，有或无治疗） 。根据职业类别士兵们再次被细分为作战部队（CU） ，维修部队（MU） ，以及行政部队（AU） 。
结果：每年每十万人中0类的发病率，在AU，MU及CU分别为317 ， 298 ， 401 。与AU和MU相比，CU部队0类发病率较高（相对危险性[RR] = 1.29 ， CI=1.03-1.62 ）。不同职业群体中癫痫发病率未见差异。
结论：与AU和MU部队相比，CU部队癫痫风险增加，提示CU部队工作条件所起的作用，如身体和精神的压力。不论职业类型，癫痫复发的等效程度，提示有必要为长期没有复发癫痫的患者进行最大程度的职业限制。 [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-08-05 06:26
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